Medicare Facts for Melissa D. Sinclair, LMT


National Provider Identifier [NPI]: 1962842179
Last Name Of The Provider SINCLAIR
First Name Of The Provider MELISSA
Middle Initial Of The Provider A
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 806 W DIAMOND AVE
Street Address 2 Of The Provider # 110
City Of The Provider GAITHERSBURG
Zip Code Of The Provider 208781415
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 575
Number Of Medicare Beneficiaries 343
Total Submitted Charge Amount 57725
Total Medicare Allowed Amount 28307.37
Total Medicare Payment Amount 20053.55
Total Medicare Standardized Payment Amount 23664.29
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 29
Number Of Medicare Beneficiaries With Drug Services 11
Total Drug Submitted ChargeAmount 401
Total Drug Medicare AllowedAmount 31.77
Total Drug Medicare PaymentAmount 27.25
Total Drug Medicare Standardized Payment Amount 27.25
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 546
Number Of Medicare Beneficiaries With Medical Services 343
Total Medical Submitted Charge Amount 57324
Total Medical Medicare Allowed Amount 28275.6
Total Medical Medicare Payment Amount 20026.3
Total Medical Medicare Standardized Payment Amount 23637.04
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 98
Number Of Beneficiaries Age 65 to 74 159
Number Of Beneficiaries Age 75 to 84 68
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 229
Number Of Male Beneficiaries 114
Number Of Non Hispanic White Beneficiaries 244
Number Of Black or African American Beneficiaries 80
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 240
Number Of Beneficiaries With Medicare Medicaid Entitlement 103
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 14
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 23
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0158

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